Active NPI
Yetta Lyle, LGPC, LCPC
- Professional Counselor
- Landover, MD
National Provider Identifier
1447760046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP7593
- Practice address
- 903 Brightseat Rd
Landover, MD 20785-4725 - Phone
- (240) 731-2830
- NPI assigned
- Oct 9, 2017
- Last updated
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGPC90144 | DC | |
| Professional Counselor | 101YP2500X | LC9663 | MD | |
| Professional Counselor | 101YP2500X | LGP7593 | MD | Primary |
Addresses
Primary practice location
903 Brightseat Rd
Landover, MD 20785-4725
Mailing address
1304 Kings Heather Dr
Mitchellville, MD 20721-2037
Phone (240) 731-2830
Other practice location 1
1304 Kings Heather Dr
Mitchellville, MD 20721-2037
Phone (240) 731-2830
Other practice location 2
402 Marvel Ct
Easton, MD 21601-4052
Phone (833) 510-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGPC90144 | DC | MD | Professional Counselor |
| LC9663 | MD | MD | Professional Counselor |
| LGP7593 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1447760046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 KINGS HEATHER DR",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212037",
"telephone_number": "240-731-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 BRIGHTSEAT RD",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854725",
"telephone_number": "240-731-2830"
}
],
"practiceLocations": [
{
"address_1": "1304 Kings Heather Dr",
"address_purpose": "LOCATION",
"city": "Mitchellville",
"state": "MD",
"postal_code": "207212037",
"country_code": "US",
"telephone_number": "240-731-2830",
"fax_number": "240-731-2830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "402 Marvel Ct",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216014052",
"country_code": "US",
"telephone_number": "833-510-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYLE",
"first_name": "YETTA",
"credential": "LGPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "LGPC90144",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC9663",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP7593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.